HCPCS L5620

Addition to lower extremity, test socket, below knee

Current codeBelow Knee Orthotic24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L5620 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$356 – $3916 plans$185$463
Deaconess Medical CenterSpokaneFile dated 2026-08-27$356 – $3918 plans$185$463
Harborview Medical CenterSeattleFile dated 2026-04-01$363 – $3995 plans$440 – $445$629 – $636
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$363 – $4367 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$356 – $3917 plans$185$463
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$356 – $3917 plans$185$463
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$356 – $3917 plans$185$463
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$356 – $3917 plans$185$463
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$367 – $3917 plans$185$463
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$363 – $3783 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$363 – $4367 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$363 – $5817 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$363 – $3996 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$363 – $5817 plans——
Seattle Children's HospitalSeattle—$1,156$1,156
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$363 – $4368 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$363 – $4368 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$363 – $4368 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$363 – $4368 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$356 – $3917 plans$185$463
University of Washington Medical CtrSeattleFile dated 2026-04-01$363 – $3995 plans$623$890
Virginia Mason Medical CenterSeattle$249 – $3749 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$356 – $3998 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Equipment fee, Washington
$363 (fee)